ABILENE DIAGNOSTIC CLINIC, PLLC
NPI 1346242567
Specialist in Abilene, TX
About Abilene Diagnostic Clinic, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ABILENE DIAGNOSTIC CLINIC, PLLC (NPI 1346242567) is a healthcare organization registered as a specialist in Abilene, Texas and active in the NPI registry since June 2005. The organization lists Andrew Kouba, Ceo/authorized Official, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Abilene Diagnostic Clinic, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
83Medicare enrollment records show 83 clinicians reassign Medicare billing to Abilene Diagnostic Clinic, PLLC, which bills Medicare for the services they deliver. Of these, 20 practice at this address and 41 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 16
Nearest to this location (20)
See all 83Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Privia Medical Group West Texas, PLLC's NPI number?
The NPI number for Privia Medical Group West Texas, PLLC is 1346242567. It was assigned to this organization in the NPPES registry on June 1, 2005. The provider is doing business as Abilene Diagnostic Clinic, PLLC.
Where is Privia Medical Group West Texas, PLLC located?
Privia Medical Group West Texas, PLLC is located at 1665 Antilley Rd # 200, Abilene, TX 79606. The listed phone number is (325) 793-5375.
What is Privia Medical Group West Texas, PLLC's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Privia Medical Group West Texas, PLLC enrolled in Medicare?
Yes. Privia Medical Group West Texas, PLLC is registered in the Medicare PECOS enrollment system.
When is Privia Medical Group West Texas, PLLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Privia Medical Group West Texas, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 83 clinicians in 16 Medicare specialties reassign their Medicare billing to Privia Medical Group West Texas, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (33), Family Practice (12) and Obstetrics/Gynecology (7). Of these, 20 practice at this address and 41 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Privia Medical Group West Texas, PLLC accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Privia Medical Group West Texas, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Privia Medical Group West Texas, PLLC was last updated on September 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Abilene Diagnostic Clinic, Pllc · NPI 1346242567
Specialist organization in Abilene, Texas. Organization record, active in the CMS NPPES registry since June 1, 2005.
## Identity
- **NPI:** 1346242567 (Entity type: Organization)
- **Enumerated:** June 1, 2005
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Legal business name:** Privia Medical Group West Texas, Pllc
- **Organization subpart:** No
- **Authorized official:** Andrew Kouba, CEO/AUTHORIZED OFFICIAL
## Practice location
- **Address:** 1665 ANTILLEY RD, # 200, Abilene, TX 79606-5265
- **Phone:** (325) 793-5375 · **Fax:** (325) 793-5384
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Texas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 83 clinicians in 16 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (33), Family Practice (12), Obstetrics/Gynecology (7); 20 practice at this address and 41 within 10 miles; [full list](https://npiprofile.com/npi/1346242567/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 7, 2022
- **Other identifiers:** Medicaid 1306102-02 (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1346242567) · Data from the CMS NPPES public registry.